Patient Forms

New patients are encouraged to download the forms below and fill out any of the applicable forms prior to their visit. Having these filled out in advance will decrease waiting time in the office.  Please review carefully, and if you have questions we will be happy to answer them during your visit.

New Patients

Before your first visit

  • Call your insurance company to verify that your chosen provider (our dentist) accepts your insurance and is in your network.
  • Download both forms, print and fill out the new patient forms and office policy so you can bring them with you to your first appointment.

Bring to your first visit

  • Photo ID
  • Insurance Card
  • New patient forms: New Patient Health History and Office Policy Agreement

Contact Us

Send Us an Email

Our Location

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Hours of Operation

Our Regular Schedule

Empire Dental Group


10:00 am-7:00 pm


10:00 am-7:00 pm


10:00 am-7:00 pm


10:00 am-2:00 pm


10:00 am-2:00 pm


9:00 am-2:00 pm